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CHAIN OF CUSTODY <br /> ENVIRONMENTAL — AGRICULTURAL <br /> FUL Special www.fgUnc.com <br /> Analytical Chemists Customer Copy (2 of 3) <br /> 1111111111111111111111111111111111111 IN 35731:0002/2021 TEST DESCRIPTION - See Reverse side for Container:`Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co.Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn:Michael Kith <br /> 1868 East Hazelton Ave. <br /> Stockton,CA 95205 <br /> Phone: (209)468-3444 Fax: <br /> Contact Person: Michael Kith i2 ¢ <br /> Project Name: v, <br /> Purchase Order Number: u Oc <br /> Quote Number: o x ¢ U <br /> Sampler(s) o z T A <br /> J U * �= C <br /> o O � <br /> Sampling Fee: Pickup Fee: <br /> d <br /> Compositor Setup Date: Time:_/ z <br /> U, <br /> Lab Number: STK 3-17919 o r% a o. 0 w> <br /> Samp Date Time � p '. , E <br /> Num Location Description Sampled Sampled � H a oa m O v�a <br /> 1 G DW Sub-3 <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula, CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> Phone: (805)392-2000 Phone:(209)942-0182 Phone:(530)343-5818 Phone:(805)783-2940 Phone:(559)734-9473 <br /> Env Fax: (805)525-4172/Ag Fax: (805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />